Pharm Chapter 18
A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell the
patient that the
active ingredient in these products is often a(n)
a. antiemetic.
b. antihistamine.
c. barbiturate.
d. benzodiazepine. - ANS-B
Rational:
The primary ingredient in OTC sleep aids is an antihistamine such as diphenhydramine, not
barbiturates or
benzodiazepines.
\A patient describes having vivid dreams to the nurse. The nurse understands that these
occur during which
stage of sleep?
a. Rapid eye movement (REM) sleep
b. Stage 2 nonrapid eye movement sleep
c. Stage 3 nonrapid eye movement sleep
d. Stage 4 nonrapid eye movement sleep - ANS-A
Rational:
Vivid dreams occur during REM sleep.
\A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient
does not want to
take medications to help with sleep. What nonpharmacologic measure will the nurse
recommend?
a. Exercise in the evening to promote bedtime fatigue.
b. Get out of bed at the same time each morning.
c. Have a glass of wine at bedtime to help you relax.
d. Take daytime naps to minimize daytime fatigue. - ANS-B
Rational:
To promote sleep, patients should be advised to arise at the same time each morning to
establish a routine.
Patients should avoid strenuous exercise before bedtime. Patients should not consume
alcohol 6 hours before
bedtime. Patients should not take daytime naps.
\A patient who has been taking a benzodiazepine as a sleep aid for several months wishes
to stop taking the
Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition,
2017) 99
medication. The nurse will suggest that the patient taper the dose gradually to avoid which
effect?
, a. Depression
b. Hangover
c. Hypnotic rebound
d. Withdrawal - ANS-D
Rational:
Benzodiazepines cause tolerance which means that abrupt cessation can result in
withdrawal symptoms such as
tremors and muscle twitching. A hangover is residual drowsiness that occurs the day after
taking a hypnotic.
\A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy
and having
difficulty performing tasks at work most mornings. The nurse suspects that which drug
effects have occurred?
a. Dependence
b. Hangover
c. Tolerance
d. Withdrawal - ANS-B
Rational:
Intermediate-acting hypnotics, such as butabarbital, are useful for sustaining sleep, but
patients often
experience residual drowsiness in the morning, or hangover. Drug dependence occurs when
patients develop a
need for the drug. Tolerance refers to a reduced drug effect requiring larger amounts of drug
to get the desired
effect. Withdrawal occurs when stopping the drug causes symptoms that can only be
alleviated by taking the
drug.
\An older adult has difficulty falling asleep. The nurse understands that which sedative
hypnotic is
appropriate for this patient?
a. Butabarbital (Butisol)
b. Flurazepam (Dalmane)
c. Secobarbital (Seconal)
d. Temazepam (Restoril) - ANS-D
Rational:
Short- to intermediate-acting benzodiazepines such as temazepam are recommended for
older adults and are
considered safer than barbiturates
\An older adult patient reports frequent nighttime awakening because of arthritis pain and
asks the nurse
about taking an over-the-counter product to help with this problem. The nurse will
recommend that the patient
discuss which medication with the provider?
a. Ibuprofen (Motrin)
b. Nytol
A patient asks the nurse about taking over-the-counter sleeping aids. The nurse will tell the
patient that the
active ingredient in these products is often a(n)
a. antiemetic.
b. antihistamine.
c. barbiturate.
d. benzodiazepine. - ANS-B
Rational:
The primary ingredient in OTC sleep aids is an antihistamine such as diphenhydramine, not
barbiturates or
benzodiazepines.
\A patient describes having vivid dreams to the nurse. The nurse understands that these
occur during which
stage of sleep?
a. Rapid eye movement (REM) sleep
b. Stage 2 nonrapid eye movement sleep
c. Stage 3 nonrapid eye movement sleep
d. Stage 4 nonrapid eye movement sleep - ANS-A
Rational:
Vivid dreams occur during REM sleep.
\A patient reports difficulty falling asleep most nights and is constantly fatigued. The patient
does not want to
take medications to help with sleep. What nonpharmacologic measure will the nurse
recommend?
a. Exercise in the evening to promote bedtime fatigue.
b. Get out of bed at the same time each morning.
c. Have a glass of wine at bedtime to help you relax.
d. Take daytime naps to minimize daytime fatigue. - ANS-B
Rational:
To promote sleep, patients should be advised to arise at the same time each morning to
establish a routine.
Patients should avoid strenuous exercise before bedtime. Patients should not consume
alcohol 6 hours before
bedtime. Patients should not take daytime naps.
\A patient who has been taking a benzodiazepine as a sleep aid for several months wishes
to stop taking the
Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition,
2017) 99
medication. The nurse will suggest that the patient taper the dose gradually to avoid which
effect?
, a. Depression
b. Hangover
c. Hypnotic rebound
d. Withdrawal - ANS-D
Rational:
Benzodiazepines cause tolerance which means that abrupt cessation can result in
withdrawal symptoms such as
tremors and muscle twitching. A hangover is residual drowsiness that occurs the day after
taking a hypnotic.
\A patient who has been taking butabarbital (Butisol) for several weeks reports being drowsy
and having
difficulty performing tasks at work most mornings. The nurse suspects that which drug
effects have occurred?
a. Dependence
b. Hangover
c. Tolerance
d. Withdrawal - ANS-B
Rational:
Intermediate-acting hypnotics, such as butabarbital, are useful for sustaining sleep, but
patients often
experience residual drowsiness in the morning, or hangover. Drug dependence occurs when
patients develop a
need for the drug. Tolerance refers to a reduced drug effect requiring larger amounts of drug
to get the desired
effect. Withdrawal occurs when stopping the drug causes symptoms that can only be
alleviated by taking the
drug.
\An older adult has difficulty falling asleep. The nurse understands that which sedative
hypnotic is
appropriate for this patient?
a. Butabarbital (Butisol)
b. Flurazepam (Dalmane)
c. Secobarbital (Seconal)
d. Temazepam (Restoril) - ANS-D
Rational:
Short- to intermediate-acting benzodiazepines such as temazepam are recommended for
older adults and are
considered safer than barbiturates
\An older adult patient reports frequent nighttime awakening because of arthritis pain and
asks the nurse
about taking an over-the-counter product to help with this problem. The nurse will
recommend that the patient
discuss which medication with the provider?
a. Ibuprofen (Motrin)
b. Nytol
